Individual provider Active NPI

James Leslie Davis, CRNA

  • Certified Registered Nurse Anesthetist
  • Corpus Christi, TX
National Provider Identifier
1700836616
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
683477 Issued in TX
Practice address
6130 Parkway Dr
Corpus Christi, TX 78414-2455
Phone
(361) 883-6211
Fax
(361) 882-4891
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 683477 TX Primary

Addresses

Primary practice location

6130 Parkway Dr
Corpus Christi, TX 78414-2455

Mailing address

4455 S Padre Island Dr Ste 11
Corpus Christi, TX 78411-5163
Phone (361) 883-6211

Other identifiers 4

IdentifierTypeStateIssuer
82637UOtherTXBCBS
152870501MedicaidTX
152870502MedicaidTX
82631UOtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120501000319 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113189580 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Shore Anesthesia Associates PAGroup PAC ID 3173412806, 17 clinicians

Practice addresses (Care Compare)

6130 Pkwy Dr
Corpus Christi, TX 78414-2455
Phone (361) 993-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
683477TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Shore Anesthesia Associates PA CurrentSince Aug 9, 2019 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2018 Accepting new patients

Locations

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

6214 Saratoga Blvd
Bldg 6
Corpus Christi, TX 78414
Phone (361) 452-5460

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

718 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 882-3204

5721 Esplanade Dr
Ste A
Corpus Christi, TX 78414
Phone (361) 334-2625

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

5641 Esplanade Dr
Corpus Christi, TX 78414
Phone (361) 245-0400

4455 S Padre Island Dr
Ste 11
Corpus Christi, TX 78411
Phone (361) 855-8900

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

5734 Spohn Dr
Ste B
Corpus Christi, TX 78414
Phone (361) 653-1125

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1700836616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR STE 11",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115163",
            "telephone_number": "361-883-6211",
            "fax_number": "361-882-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 PARKWAY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142455",
            "telephone_number": "361-883-6211",
            "fax_number": "361-882-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "LESLIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "683477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82637U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152870501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152870502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "82631U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.